Presentation

City of Mesa — City Council Study Session (2026-04-09)

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Mesa Fire & Medical Department
April 9, 2026
Fiscal Year 2026/27
Chief: Mary Cameli
Assistant Chiefs: Brent Burgett, Brian Darling, 
Cori Hayes, John Locklin
Deputy Director: Tara Acuña

PERFORMANCEPLUS
E N V I S I O N .  E L E V A T E .  I M P A C T .
The Mesa Fire & Medical Department  exists to deliver timely, 
compassionate, and effective all-hazard and medical response, 
paired with community risk reduction to decrease loss of life, 
property, and preventable harm for a safe and thriving Mesa.
OUTCOMES-base of KPIs
HOW WE ALIGN TO 
THE PRIORITIES
WHY WE EXIST

Outcome Areas
3
Decrease loss of life
•
Highly skilled workforce
•
Fast response times
Decrease loss of property
•
Well maintained equipment
•
Trained on proper techniques
Decrease preventable harm
•
Following up on referrals 
•
Providing additional resources to citizens

KPI: Response Times
4
The response time (in minutes) for Code 3 emergency calls by calendar year. Times are shown in decimal format (e.g., 4.50 = 4 min, 30 sec).
Fire and Medical Code 3 Incident Response Times by Percentile
90th Percentile
75th Percentile
50th Percentile

KPI: Incidents
5
Number of fire and medical incidents within Mesa Fire and Medical’s jurisdiction per type per calendar year.
MFMD Annual Incidents Responded to by Type
Medical
Fire
MVA
Service
Spec Ops
Comm Med
65,060
65,045
64,319
69,890
71,405
70,921
72,135
71,938
17,738

KPI: High Utilizers
6
Reduction of 911 Calls from Emergency Services High Utilizers
Percent reduction in calls from high utilizers after social services intervention. Calculated by total number of high utilizer 911 calls 3 months prior to intervention/total number of 
high utilizer 911 calls 3 months after intervention.

Financial Summary
7
Figures in millions, rounded
Service Level 
FY 24/25
Year End Actuals
FY 25/26 
Revised Budget
FY 25/26 
Year End Estimate
FY 26/27
Proposed Budget
Community Involvement
$4.3
$4.8
$4.7
$4.9
Departmental Support
$26.3
$35.0
$35.3
$26.7
Incident Response
$82.4
$89.0
$89.5
$89.3
Total Expenses
$113.0
$128.8
$129.5
$120.9
General Governmental Funds

Financial Summary
8
Figures in millions, rounded
Public Safety Sales Tax Fund
Service Level 
FY 24/25
Year End Actuals
FY 25/26 
Revised Budget
FY 25/26 
Year End Estimate
FY 26/27
Proposed Budget
Departmental Support
$0.5
$0.7
$0.6
$0.7
Incident Response
$13.1
$17.8
$15.4
$18.7
Total Expenses
$13.6
$18.5
$16.0
$19.4

Financial Summary
9
Figures in millions, rounded
Emergency Transport Services Fund
Service Level 
FY 24/25
Year End Actuals
FY 25/26 
Revised Budget
FY 25/26 
Year End Estimate
FY 26/27
Proposed Budget
Incident Response
$15.7
$22.5
$22.6
$23.0
Total Expenses
$15.7
$22.5
$22.6
$23.0
Service Level 
FY 24/25
Year End Actuals
FY 25/26 
Revised Budget
FY 25/26 
Year End Estimate
FY 26/27
Proposed Budget
Incident Response
$24.7
$31.2
$31.2
$33.7
Total Revenues
$24.7
$31.2
$31.2
$33.7

FY 26/27 Budget Reduction Summary 
10
General Fund Reduction Target: $1.35M over three years
Reduction
FTE / Vacant?
Reduction 
Amount
Fund
Eliminate Vacant PIO Marketing/Communications 
Specialist II
-1
Yes
-$126,000
General
Reallocate (4) Firefighters from GF to PSST Fund
-
-
-$705,000
General
Total
-1
-$831,000

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FY 26/27 Adjustment Request Summary
*Will be offset by program revenue
Ranking Adjustment
FTE
One-Time
Ongoing
Fund
1
ETS Fund Modification
0
-
$286,000
ETS
2
ETS Conversion (12hr to 24hr)
2
-
$290,000
ETS
ETS Fund Total
2
$0
$576,000*

Station 224
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Station 205
13

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Auto CPR Devices – FEMA AFG Grant

15
Firewise Program

• Solar
• Residential Battery Storage
• Power Grid 
• Generator Power
• Hydrogen Diffuser
• Electric Vehicle
Current & Emerging Home Energy Challenges
16

CNG Challenges for Firefighters
17

Flashover due to Battery Charger
18

Evolving Equipment for Electric Vehicle Fires
19

Cancer 
Prevention
Starting in FY 19/20, $210,000 was budgeted annually through the public 
safety sales tax for cancer prevention. 
We've received over $2M in grant funding for cancer mitigation over the last 
three years.
The funding has been used for the following:
• Cancer screenings/full body MRI scans
• Exhaust removal systems in bays
• Relocation of ice machines/turnout storage in bays
• Clean-cab concept implementation
• Galleri blood tests
• Turnout cleaning
To date, the following cancers have been identified through the preventative 
screening measures taken: esophageal, colorectal, glioma brain, kindey, 
leukemia, lymphoma, thyroid, various skin and testicular.
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